Department of Health Sciences, University of Colorado Colorado Springs, 1420 Austin Bluffs Pkwy, Colorado Springs, CO 80907, USA.
Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, 506 S. Wright St., Urbana, IL 61801, USA.
Int J Environ Res Public Health. 2023 Aug 12;20(16):6567. doi: 10.3390/ijerph20166567.
Exercise improves a wide range of symptoms experienced by those living with multiple sclerosis (MS) and may foster community and a positive sense of disability identity. However, exercise rates remain low. Sustained exercise participation has the greatest likelihood of improving symptoms and requires a theory-based approach accounting for the barriers faced by people with MS that impede exercise participation long-term. MOVE MS is a once weekly group exercise program based on Social Cognitive Theory supporting long-term exercise participation through peer instruction, behavior change education, multiple exercise modalities, and seated instruction. This feasibility study evaluated MOVE MS with a 7-month trial. The primary scientific outcome was exercise participation and the secondary outcomes were MS symptoms/impact, self-efficacy, depression, anxiety, disability identity, and quality of life, among others. We further conducted semi-structured formative interviews post-intervention. Thirty-three participants began the program. The onset of COVID-19 necessitated a shift toward online delivery. Seventeen participants completed the program. There were non-significant improvements in exercise participation (Godin Leisure-Time Exercise Questionnaire, baseline mean = 14.2 (SD = 11.8), post-intervention mean = 16.6 (SD = 11.2), F-value = 0.53 (Partial Eta = 0.08), and several secondary outcomes (including the MS Impact Scale, MS Walking Scale, and the Leeds MS Quality of Life Scale). Sixteen participants were interviewed, and analysis yielded five themes on program components and feedback. MOVE MS-delivered in-person or online-may be a feasible option for long-term exercise programming for people with MS.
运动可改善多发性硬化症（MS）患者的多种症状，并有助于建立社区关系和对残疾身份的积极认知。然而，运动参与率仍然较低。持续的运动参与最有可能改善症状，需要采用基于理论的方法，考虑到 MS 患者面临的障碍，这些障碍会长期阻碍他们参与运动。MOVE MS 是一项每周一次的团体运动计划，基于社会认知理论，通过同伴指导、行为改变教育、多种运动方式和坐姿指导来支持长期运动参与。这项可行性研究对 MOVE MS 进行了为期 7 个月的试验。主要的科学结果是运动参与度，次要结果是 MS 症状/影响、自我效能、抑郁、焦虑、残疾身份和生活质量等。我们在干预后进一步进行了半结构化的形成性访谈。33 名参与者开始了该计划。COVID-19 的爆发需要转向在线交付。17 名参与者完成了该计划。运动参与度（Godin 休闲时间运动问卷，基线平均值=14.2（SD=11.8），干预后平均值=16.6（SD=11.2），F 值=0.53（部分 eta=0.08））和几个次要结果（包括 MS 影响量表、MS 步行量表和 Leeds MS 生活质量量表）均无显著改善。对 16 名参与者进行了访谈，分析得出了关于计划组成部分和反馈的五个主题。MOVE MS 无论是在线还是线下进行，都可能是 MS 患者长期运动计划的可行选择。
